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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO4 PM �'�.�0- (� � <br />SITE ADORESS PARCEL TAX I.D. � PERMIT M <br />iP��o A4''�'� 5T S•tJ . I oad8ot�ov/ nolooz D�s�e e�► 1�z. <br />�-, <br />LEGAL LOiNO� <br />DESC. a} <br />OWNER <br />CEDw� I�,u- <br />TEN�NT NMIE <br />ala <br />BLOCK � TRACT <br />CONTRACTOR CEDq R- {-1 � u. I N U, <br />CONTR. UCEN9E � CG �R '1—N I�I SIO // <br />USE OF BUILDIN6 <br />S��✓('rLE 79Mi L <br />WORK DESCRtPTON <br />NO. I NPE OF FIXTURE OR ITEM <br />Toilet <br />Bathlub <br />Lavatary iwash basin) <br />Shower <br />Kfldien sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (servicel6admop�etc.) <br />Backibw preventer <br />Urinal <br />Drinking Founlain <br />Floo� drain <br />Grease hap <br />Rool dreins <br />Other <br />U7CTS <br />an ,.. � .,_.. . ..-�-- <br />833Z 4�` Sr. S�E: C+sG� `�'ZUS (4z�4������ <br />CONTACT FOR PERMR P„�NE <br />P,,�.�. Po��� C`�zs� 4�z - �-r-� <br />ADDRESB Lh� �iZ <br />HEATSOURCE <br />_ Eledric ,� Gas _ Other <br />�tez��orE y-z�. �zz-�� <br />CONTRACT PRlce oF wuKn <br />� �CJ� DO(� _`:' <br />NO. I T'PE OF fl%TURE OR ITEM <br />A/C -air handling unib <br />� Forced air syslems <br />_� Gas piping <br />�_ Waler heater <br />_� Gas fireplace <br />�_ Gas range <br />1_ Clothes dryer <br />�_ Range hood <br />� Exhaust fan <br />Heal pump <br />Unit heater <br />Boiler <br />Re6igeration <br />Woodstove <br />Olher <br />CIN OF EVERETT LOCAL SALES TAX COOE 19 JtOS <br />I here6y cerility that I have read end examined this apA�iwibn end know the same to be true and correct. All provisions of laws and <br />ordineces goveming this type ol work will be complied with whelher specified herein or nol The granling ot a permil dcee not Dresume <br />to give aiAtariry to violale or cancel ihe provisbo af any olher state or local law regulating construclion or ihe pedortnance ot <br />conntructioa Thal I nm authorized by Ihe owner o( Ihis property to peAortn the work lor which applicalion is made and I comply with Ihe <br />Slate Con �actors Lew 18.<^� RCW end�962D0 WAC. � / <br />% �L <br />� <br />��L <br />